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Organization

DORCHESTER COUNTY DRUG AND ALCOHOL HEALTH SERVICES

Active
Parent organization
DORCHESTER COUNTY HEALTH DEPARTMENT
Organization subpart
Yes

Provider details

NPI number
Legal business name
DORCHESTER COUNTY HEALTH DEPARTMENT
Authorized official
MR. JOHN RANDOLPH WINSLOW MHS, CPP (PROGRAM DIRECTOR)
(410) 228-7714
Entity
Organization

Contact information

Practice address
310 GAY ST, LOWER LEVEL, CAMBRIDGE, MD 21613-1898
(410) 228-7714
(410) 228-8049
Mailing address
3 CEDAR ST, CAMBRIDGE, MD 21613-2362
(410) 228-7714
(410) 228-8049

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
13090
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
703191200
AMERIGROUP
MD
05
720081100
MD
01
MV4
BLUE CROSS/ BLUE SHIELD
MD
Enumeration date
01/10/2012
Last updated
01/10/2012
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